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1740 W 27th St, Suite 180, Houston, TX 77008-1440 | |
(713) 864-8652 | |
(713) 864-2865 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 1740 W 27th St, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154322022 | NPI | - | NPPES |
082470801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | H7593 (Texas) | Primary |
Provider Name | Steven J Garza |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1346216892 PECOS PAC ID: 0042268617 Enrollment ID: I20050111000056 |
Provider Name | Shoshana R Nock |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1417923277 PECOS PAC ID: 0648355800 Enrollment ID: I20080312000085 |
Provider Name | Dora Cantu |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1194725366 PECOS PAC ID: 0446218929 Enrollment ID: I20120928000523 |
Provider Name | Rachel Wang Baltazar |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1548981699 PECOS PAC ID: 9335509736 Enrollment ID: I20230717003522 |
Mailing Address | Practice Location Address |
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1740 W 27th St, Suite 180, Houston, TX 77008-1440 Ph: (713) 864-8652 | 1740 W 27th St, Suite 180, Houston, TX 77008-1440 Ph: (713) 864-8652 |